Organization
BIZZEE KIDZ THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACI BLANKENSHIP MSOTR/L (PARTNER/OWNER)
(573) 686-5439
Entity
Organization
Contact information
Practice address
4358 HIGHWAY PP, POPLAR BLUFF, MO 63901-1552
(573) 686-5439
(573) 778-0103
Mailing address
4358 HIGHWAY PP, POPLAR BLUFF, MO 63901-1552
(573) 686-5439
(573) 778-0103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
005426
MO
225100000X
Physical Therapist
Primary
108147
MO
225200000X
Physical Therapy Assistant
2007030326
MO
225X00000X
Occupational Therapist
2002000623
MO
225X00000X
Occupational Therapist
2004032542
MO
235Z00000X
Speech-Language Pathologist
104632
MO
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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